NPIMap

Organization Active NPI

Family Service Association of Greater Boston

  • Community/Behavioral Health Agency
  • Jamaica Plain, MA
National Provider Identifier
1801916176
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4599 Issued in MA
Legal business name
FAMILY SERVICE ASSOCIATION OF GREATER BOSTON
Practice address
31 Heath St
Jamaica Plain, MA 02130-1650
Phone
(617) 523-6400
Fax
(617) 523-3034
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Randal D Rucker, MCP
Title
Chief Executive Officer
Phone
(617) 523-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4599 MA Primary

Addresses

Primary practice location

31 Heath St
Jamaica Plain, MA 02130-1650

Mailing address

31 Heath St
Jamaica Plain, MA 02130-1650
Phone (617) 523-6400

Other identifiers 3

IdentifierTypeStateIssuer
1303414MedicaidMA
1309404MedicaidMA
1309374MedicaidMA

Other names 1

  • Family Service of Greater Boston Doing business as

National Provider Directory

National Provider Directory

Locations

34 Beacon St
Boston, MA 02108
Phone (617) 523-6400

31 Heath St
Jamaica Plain, MA 02130
Phone (617) 523-6400

Practitioners & affiliated clinicians

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 91

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1801916176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HEATH ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021301650",
            "telephone_number": "617-523-6400",
            "fax_number": "617-523-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HEATH ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021301650",
            "telephone_number": "617-523-6400",
            "fax_number": "617-523-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE ASSOCIATION OF GREATER BOSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-523-6400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MCP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "4599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303414",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309404",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309374",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Service of Greater Boston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.